Shoulder Flashcards
What are radiographic indications for middle 1/3 clavicle fractures?
> 100% displacmeent
Shortening >15-20mm
Symptomatic non-union 12-16 weeks
NFL player suffers middle 1/3 clavicle fracture. What is the managment?
surgical in elite athletes
Non-surgical managment for middle 1/3 clavicle fracture.
Sling or figure 8
Expected healing time for middle 1/3 clavicle fracture for non-operative. What is the RTP?
Healing Time Adults- 6-12 weeks Peds 3-6 weeks RTP Noncontact 6-8 weeks Contact 8-10 weeks
Type 1 distal clavicle fracture
Fracture lateral to ligament, no tear of ligament
Type 2 distal clavicle fracture
Fracture medial to CCL. Superior displacement
Type 3 distal clavicle fracture
throught the AC joint
What nerve injury can be seen with distal clavicle fracture?
Suprascapular nerve- weakness with external rotation
What type of distal clavicle fractures can be managed nonoperatively?
Type I and III
Nonoperative Treatment for a Type 1 (distal 1/3 clavicle) fracture ? Expected healing time? RTP?
Sling for comfort for 3-6 weeks
6-8 weeks for full healing.
RTP always a bit longer for contact sports
What type of distal 1/3 clavicle fractures require ortho consult? What decides if surgery or not?
II, IV V
Non-displaced consider non-op with close follow up
If displaced ORIF
Non op treatment for proximal third clavicle fracture
Sling 3-6 weeks
Healing 6-8 weeks
What constitues operative tx for 1/3 proximal clavicle fracture?
Dislocation or displacement
2 test for AC joint separations
O’Breins
rais arm to 90 and adduct about 10 degrees inward. Thumbs down. Ask them to resist downward pressure.
Scarf
elbow in 90 and arm in 90. Adduct arm. Positive if painlocalized to AC joint
Tx and RTP for type 1 ACJ Separation
sling for comfort RTP 7-10 days